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    OpenPayerNPI Medicare & MedicaidJohn Chung
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    John Chung — Billing Profile & Reimbursement Data

    NPI 1710943709 · Dalton, GA · MOHS-Micrographic Surgery Physician

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    John Chung is a mohs-micrographic surgery physician provider located in Dalton, Georgia. This profile covers 41 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Chung
    Address1107 Memorial Dr
    CityDalton
    StateGA
    ZIP30720
    TaxonomyMOHS-Micrographic Surgery Physician
    NPI EnumeratedApril 26, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$2.5M
    Medicaid$0

    Key Findings

    JOHN CHUNG is enumerated as an NPI since 2006-04-26 (~20 years ago) and has generated Total Medicare revenue of $2.5M over his lifetime; there is no Medicaid billing on file (Medicaid revenue: none), so his public-payer footprint is effectively single-payer Medicare. The longevity of the NPI plus the concentrated Medicare revenue indicates an established Medicare-focused practice rather than recent entry.

    Revenue concentration is high: the precomputed top-3 Medicare codes 17311, 14041, and 17312 together account for 45.6% of this provider's Total Medicare revenue. Individually those codes contribute $460.4K (18.9%) for 17311, $408K (16.7%) for 14041, and $245.1K (10.0%) for 17312, showing that nearly half of Medicare dollars are driven by a very small set of procedures.

    The code mix and descriptions point to a Mohs surgery–centric practice with substantial reconstructive work: multiple Mohs procedure codes (17311, 17312, 17313) appear at the top of the list alongside large-tissue-replacement/reconstruction codes such as 14041, 14301, 14040, and 14021. These entries indicate routine performance of multi-staged excisions with on-site or same-session complex flap and graft repairs, consistent with an operator focused on excision of skin cancer and immediate reconstruction.

    Competitive standing on key procedures is exceptional: 14041 ranks #1 of 1009 providers nationally (100th percentile; extreme outlier) and 17311 ranks #5 of 2969 (100th percentile; extreme outlier), while 17312 ranks #35 of 2770 (99th percentile; extreme outlier). These rank/percentile positions mean the provider is a national-volume outlier for both Mohs and large-area reconstructive closures and would be considered a dominant high-volume performer for these specific CPTs.

    Beyond the top three, a cluster of reconstructive/complex-repair codes also posts high absolute revenue and percentile standing—examples include 14301 ($173.2K, 7.1% of Medicare revenue; ranks #7 of 1015, 99th percentile, extreme outlier), 14040 ($166K, 6.8%), 14021 ($121.8K, 5.0%), and 13121 ($91.8K, 3.8%). This pattern reinforces that revenue is driven not only by Mohs margins but by downstream complex closure and reconstruction services rather than predominantly by routine office visits or lesion destruction.

    A smaller set of non-dermatologic codes appear at modest levels of revenue, notably radiation-simulation and planning codes 77280 ($87.5K, 3.6%), 77290 ($35.1K, 1.4%), and 77300 ($10.1K, 0.4%), which are described as typical or unremarkable volumes in national percentiles. These entries are an atypical adjunct in the claim mix for a Mohs-Micrographic Surgery Physician but are financially secondary to the primary Mohs and reconstructive CPTs; they warrant review for practice structure or multispecialty billing relationships rather than being primary revenue drivers.

    Payer-mix implications are straightforward: with Total Medicare revenue of $2.5M and Medicaid revenue listed as none, the provider operates with effectively no Medicaid exposure on public claims data. That concentration presents downside risk to any policy or payment changes at the Medicare level and limits Medicaid-based comparators for in-state competitive analysis.

    Operationally, the mix of extreme-outlier Mohs volumes and high-value reconstructive codes suggests a practice model that emphasizes high-throughput Mohs excisions with immediate complex reconstructions, supported by a long-tenured NPI (2006-04-26, ~20 years). For network or contracting analysts, this profile signals a specialty procedural center with concentrated Medicare revenue and national-leading volumes on specific surgical CPTs rather than a general dermatology/primary-care outpatient practice.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…1,720$270$460.4K
    14041The provider replaces the lesions in the forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, or feet with the healthy tissues from an adjacent site. This code represents a…610$670$408K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.820$300$245.1K
    17313Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.580$390$228.1K
    14301The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.220$790$173.2K
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…300$550$166K
    14021The provider repairs lesions in the patient’s scalp, arms, or legs by using the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2.190$630$121.8K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.430$210$91.8K
    77280The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.460$190$87.5K
    14061The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.80$730$59.1K

    Showing 1–10 of 41

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    41 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311180290$440$166K
    8830596340650$40$73.6K
    17312480140$310$66.3K
    1731327070$440$47.8K
    1404113020$650$31.9K
    1430112020$730$28.4K
    1573011030$1,050$28.4K
    77401720830$30$26.3K
    772801211030$170$24.5K
    14302310130$160$23.5K

    Showing 1–10 of 41

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with John Chung, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Skin Cancer & Cosmetic Dermatology Center, PCGADermatology Physician$0$3.4M
    Donn LatourMIMOHS-Micrographic Surgery Physician$699.2K$14.4K
    Shimon OamiTNDermatopathology (Pathology) Physician$490.1K$720
    Magdalena KowalskiGADermatology Physician$437.5K$0
    Kisa SeymoreGADermatology Physician$405.8K$0
    Luis Gomez VacaGADermatology Physician$390.2K$0
    Vlatka AgnettaTNMOHS-Micrographic Surgery Physician$382.1K$0
    Jane ClarkGAInternal Medicine Physician$274.3K$0
    Esther LatourMISpecialist$228K$0
    Stewart LittleTNPlastic and Reconstructive Surgery Physician$216.5K$0

    Nearby Providers

    Other providers in the same ZIP code as John Chung, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Highland Rivers Community Service BoardGACommunity/Behavioral Health Agency$0$44.1M
    White's PediatricsGAPediatrics Physician$0$25.1M
    Family And Children First LLCGACommunity/Behavioral Health Agency$0$19.5M
    Hamilton Physician Group IncGACardiovascular Disease Physician$0$5.9M
    Pediatrics Of Dalton, PAGASpecialist$0$5.5M
    Dalton Ear Nose & Throat AssociatesGAOtolaryngology Physician$0$4M
    Hamilton Emergency Medical ServicesGALand Ambulance$1.2M$0
    Hosam Saad-naguibGAHematology & Oncology Physician$1M$0
    Professional Eye Associates, Inc.GAAmbulatory Surgical Clinic/Center$698.9K$0
    Hamilton Ambulatory Surgery CenterGAAmbulatory Surgical Clinic/Center$610.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    John Chung — 15 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia